Background to this inspection
Updated
6 December 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by 1 inspector, a medicines inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Benedicts is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Benedicts is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 3 people living at the home, the manager and 4 support workers and 2 nurses. We observed the interactions between staff and people living at the home. We looked at a range of records including support plans for 3 people, recruitment files for 3 staff, training records, risk assessments and medicines records. We also looked at information regarding the arrangements for monitoring the quality and safety of the service provided within the home. Following the inspection visit we received feedback from 5 relatives.
Updated
6 December 2023
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
St Anne’s Community Services-Benedicts is a nursing home providing personal care to 15 people at the time of the inspection. The service can support up to 16 people.
People's experience of using this service and what we found
Right Support: Care plans did not contain sufficient detail for staff to support people to lead the lives they wanted. Which meant there was a risk of support not being provided to meet people’s needs or in a person-centred way. Medicine administration and records were not always accurately completed. Staff knew people well and we observed positive interactions. People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way and in their best interests.
Right Care: Staff supported people in a caring and positive manner. Improvements were planned in care planning to promote independence and set longer term goals.
Right Culture: There were some instances where care planning did not always support people to lead inclusive and empowered lives. This was raised throughout the inspection process and the provider was responsive to improve the service. Relatives were positive about the care provided in the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was rated good (published 5 December 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We have found evidence that the provider needs to make improvements. Please see the relevant key question sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for St Anne’s Community Services-Benedicts on our website at www.cqc.org.uk.
Enforcement and Recommendations We have identified breaches in relation to medicine management, governance and auditing systems at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.